Carroll, Kyra D.

Carroll, Kyra D. is an individual health care provider with primary practice located at 901 E 18Th Ave , Eugene OR 97403-1354. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Carroll, Kyra D. can be contacted via phone (541) 346-3575.

Contact Information

Primary practice address
901 E 18Th Ave Eugene OR 97403-1354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12072 Oregon

Profile Details

NPI number 1881609386
LBN Legal business name Carroll, Kyra D.
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881609386 NPPES
Oregon MEDICAID 229148

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